Current state of the art of regional hyperthermia treatment planning: A review

Locoregional hyperthermia, i.e. increasing the tumor temperature to 40-45 °C using an external heating device, is a very effective radio and chemosensitizer, which significantly improves clinical outcome. There is a clear thermal dose-effect relation, but the pursued optimal thermal dose of 43 °C for 1 h can often not be realized due to treatment limiting hot spots in normal tissue. Modern heating devices have a large number of independent antennas, which provides flexible power steering to optimize tumor heating and minimize hot spots, but manual selection of optimal settings is difficult. Treatment planning is a very valuable tool to improve locoregional heating. This paper reviews the developments in treatment planning software for tissue segmentation, electromagnetic field calculations, thermal modeling and optimization techniques. Over the last decade, simulation tools have become more advanced. On-line use has become possible by implementing algorithms on the graphical processing unit, which allows real-time computations. The number of applications using treatment planning is increasing rapidly and moving on from retrospective analyses towards assisting prospective clinical treatment strategies. Some clinically relevant applications will be discussed

Surface Reconstruction through Time

Surface reconstruction is an area of computational geometry that has been progressing rapidly over the last decade. Current algorithms and their implementations can reconstruct surfaces from a variety of input and the accuracy and precision improve with each new development. These all make use of various heuristics to achieve a reconstruction. Much of this work consists of reconstructing a still object from point samples taken from the object\u27s surface. We examine reconstructing an n-dimensional object and its motion by treating time as an (n + 1)st axis. Our input consists of (n-1)-dimensional scans taken over time and at di?erent positions on the original object. This input is mapped into (n + 1) dimensions where the (n + 1)st dimension is a scaled time axis and then fed into an existing surface reconstruction algorithm. A cross section of the reconstructed surface perpendicular to the time axis yields an approximation to the shape of the n-dimensional surface at the corresponding point in time. The intended application for this work is the reconstruction of medical images from scanning technology such as MRI or CT into moving 3d surfaces. We investigate reconstructing 2d moving surfaces through time as a preliminary step towards the moving 3d problem. We spend most of our efforts in this thesis on the problem of computing a scaling factor for mapping time into the (n + 1)st axis to minimize the number of scans needed to meet the sampling requirements for an existing surface reconstruction algorithm. We give three bounds, based on features of the 2d moving object, that are necessary to accomplish this

Interactively Cutting and Constraining Vertices in Meshes Using Augmented Matrices

We present a finite-element solution method that is well suited for interactive simulations of cutting meshes in the regime of linear elastic models. Our approach features fast updates to the solution of the stiffness system of equations to account for real-time changes in mesh connectivity and boundary conditions. Updates are accomplished by augmenting the stiffness matrix to keep it consistent with changes to the underlying model, without refactoring the matrix at each step of cutting. The initial stiffness matrix and its Cholesky factors are used to implicitly form and solve a Schur complement system using an iterative solver. As changes accumulate over many simulation timesteps, the augmented solution method slows down due to the size of the augmented matrix. However, by periodically refactoring the stiffness matrix in a concurrent background process, fresh Cholesky factors that incorporate recent model changes can replace the initial factors. This controls the size of the augmented matrices and provides a way to maintain a fast solution rate as the number of changes to a model grows. We exploit sparsity in the stiffness matrix, the right-hand-side vectors and the solution vectors to compute the solutions fast, and show that the time complexity of the update steps is bounded linearly by the size of the Cholesky factor of the initial matrix. Our complexity analysis and experimental results demonstrate that this approach scales well with problem size. Results for cutting and deformation of 3D linear elastic models are reported for meshes representing the brain, eye, and model problems with element counts up to 167,000; these show the potential of this method for real-time interactivity. An application to limbal incisions for surgical correction of astigmatism, for which linear elastic models and small deformations are sufficient, is included

Atlas-Based Automatic Generation of Subject-Specific Finite Element Tongue Meshes

Generation of subject-specific 3D finite element (FE) models requires the processing of numerous medical images in order to precisely extract geometrical information about subject-specific anatomy. This processing remains extremely challenging. To overcome this difficulty, we present an automatic atlas-based method that generates subject-specific FE meshes via a 3D registration guided by Magnetic Resonance images. The method extracts a 3D transformation by registering the atlas’ volume image to the subject’s one, and establishes a one-to-one correspondence between the two volumes. The 3D transformation field deforms the atlas’ mesh to generate the subject-specific FE mesh. To preserve the quality of the subject-specific mesh, a diffeomorphic non-rigid registration based on B-spline free-form deformations is used, which guarantees a non-folding and one-to-one transformation. Two evaluations of the method are provided. First, a publicly available CT-database is used to assess the capability to accurately capture the complexity of each subject-specific Lung’s geometry. Second, FE tongue meshes are generated for two healthy volunteers and two patients suffering from tongue cancer using MR images. It is shown that the method generates an appropriate representation of the subject-specific geometry while preserving the quality of the FE meshes for subsequent FE analysis. To demonstrate the importance of our method in a clinical context, a subject-specific mesh is used to simulate tongue’s biomechanical response to the activation of an important tongue muscle, before and after cancer surgery

Variational methods for shape and image registrations.

Estimating and analysis of deformation, either rigid or non-rigid, is an active area of research in various medical imaging and computer vision applications. Its importance stems from the inherent inter- and intra-variability in biological and biomedical object shapes and from the dynamic nature of the scenes usually dealt with in computer vision research. For instance, quantifying the growth of a tumor, recognizing a person\u27s face, tracking a facial expression, or retrieving an object inside a data base require the estimation of some sort of motion or deformation undergone by the object of interest. To solve these problems, and other similar problems, registration comes into play. This is the process of bringing into correspondences two or more data sets. Depending on the application at hand, these data sets can be for instance gray scale/color images or objects\u27 outlines. In the latter case, one talks about shape registration while in the former case, one talks about image/volume registration. In some situations, the combinations of different types of data can be used complementarily to establish point correspondences. One of most important image analysis tools that greatly benefits from the process of registration, and which will be addressed in this dissertation, is the image segmentation. This process consists of localizing objects in images. Several challenges are encountered in image segmentation, including noise, gray scale inhomogeneities, and occlusions. To cope with such issues, the shape information is often incorporated as a statistical model into the segmentation process. Building such statistical models requires a good and accurate shape alignment approach. In addition, segmenting anatomical structures can be accurately solved through the registration of the input data set with a predefined anatomical atlas. Variational approaches for shape/image registration and segmentation have received huge interest in the past few years. Unlike traditional discrete approaches, the variational methods are based on continuous modelling of the input data through the use of Partial Differential Equations (PDE). This brings into benefit the extensive literature on theory and numerical methods proposed to solve PDEs. This dissertation addresses the registration problem from a variational point of view, with more focus on shape registration. First, a novel variational framework for global-to-local shape registration is proposed. The input shapes are implicitly represented through their signed distance maps. A new Sumof- Squared-Differences (SSD) criterion which measures the disparity between the implicit representations of the input shapes, is introduced to recover the global alignment parameters. This new criteria has the advantages over some existing ones in accurately handling scale variations. In addition, the proposed alignment model is less expensive computationally. Complementary to the global registration field, the local deformation field is explicitly established between the two globally aligned shapes, by minimizing a new energy functional. This functional incrementally and simultaneously updates the displacement field while keeping the corresponding implicit representation of the globally warped source shape as close to a signed distance function as possible. This is done under some regularization constraints that enforce the smoothness of the recovered deformations. The overall process leads to a set of coupled set of equations that are simultaneously solved through a gradient descent scheme. Several applications, where the developed tools play a major role, are addressed throughout this dissertation. For instance, some insight is given as to how one can solve the challenging problem of three dimensional face recognition in the presence of facial expressions. Statistical modelling of shapes will be presented as a way of benefiting from the proposed shape registration framework. Second, this dissertation will visit th